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MIS1996-00010 • i CITY OF TIGARD, OREGON ACCESSORY STRUCTURE APPLICATION CITY OF TIGARD, 13125 SW Hall, PO Box 23397 Tigard, Oregon 97223 - (503) 639-4171 FOR STAFF USE ONLY CASE NO. MI5%-00E0 OTHER CASE NO'S: RECEIPT NO. cf 6-2,77Cj 57j APPLICATION ACCEPTED BY: DATE: r-41419. (----) 1. GENERAL INFORMATION Application elements submitted: PROPERTY ADDRESS/LOCATION //698 5P- /25; C./, (9, Application form (1) ©e 9 72 2 3 (B) Owner's signature/written TAX MAP AND TAX LOT NO. /,5/33 bb - CMS-00 authorization (C) Title transfer instrument (1) SITE SIZE iO eS (D) _ ) G � w PROPERTY OWNER/DEED HOLDER* r - 'lot (p -app check list) ADDRESS 1/698 Si) /2.5.1t.'t' 611 PHONE 5,24/-4619( ) ;:� a eme• CITY "nq de-, ©/� ZIP t972-23- - =�• • s APPLICANT* /� ,� dn�7a ,4 C,�+���3a« ./i-• ( • • is-and y ADDRESS 54- 4 4s / , _ PHONE. ac- - • > - CITY ZIP L//'61) Filing fee ($80.00) • • *When the owner and the applicant are different people, the applicant must be the purchaser of record or a leasee in possession with written authorization DATE DETERMNED TiO BE COMPLETE: from the owner or an agent of the owner with written j f� authorization. The owner(s) must sign this ` /2 6 �G� application in the space provided on page two or FINAL DECISION DEADLINE: submit a written authorization with this application. C9MP. PLAN/ ONE DE I�G//,,NATI N•''nn 2. PROPOSAL SUMMARY L-o w b4ut1 .es- 1`d /C- The owners of record of the subject property , request an accessory structure which is N-rP70r-Number: 42 /3 feet in height with an area of i4'%' square feet. Approv D e: S Final Approval Date: • Planning 1187P/13P Engineering Rev'd: 3/88 411 111 3. List any variance, conditional use, sensitive lands, or other land use actions to be considered as part of this application: r • 4. Applicants: To have a complete application you will need to submit attachments described in the attached information sheet at the time you submit this application. 5. THE APPLICANT(S) SHALL CERTIFY THAT: A. The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property. B. If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. C. All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that any such statements are false. D. The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving or denying the application. DATED this day of 19 SIGNATURES of each owner (eg. husband and wife) of the subject property. AOr (/;7 if ll �,/% Alr (KSL:pm/0524P) ' / \ ( �� �] | / / - NIA 12AYM�N} KLci l| '| NU. : 'c/���` , uw. /'/ i^^��i ,/�/��|N } : \o. �` /�Hk��jUN, NUY & /)EHNNH p�ym�N \ /,� � |� : H0DHLh�3 : ljmJ WA�HAumTUN �TN�� | v (�juU1 FQ:Y-31i', UH 9 (830- PbkPUhL 1-Hv11LN| o 14JKP�SE N *Mt WIN | '( I HP PL 80. v)0 ACCESSORY STKUC1URE FOR 11.698 SW 125TH COUR M}S9b-QN10 1 I AL AMOUNl PA],0 �__. _ ---- __-_-- * OWNHIP INFORMATION • k` Reference Parcel #:1S133DD 06500 * * Parcel Number :R2009911 TRSQ:01S-01W-33-SE SE * * Owner :CARLSON ROY M JR & DEANNA M * * CoOwner * * Site Address :11698 SW 125TH,CT TIGARD 97223 * * Mail Address :11698 SW 125TH CT TIGARD OR 97223 * * Telephone :Owner Tenant * x # * PROPERTY DESCRIPTION * * * * Map Grid:655 B3 Class Code:R14 * * Census :Tract 319.03 Block 2 • * * NbrhdCd :MNHL MillRate :13.7036 * * Sub/Plat:VILLAGE AT SUMMER LAKE - * * Land Use:1012 RES,IMPROVED * * Legal :VILLAGE AT SUMMER LAKE PARK NO.3, * i * :LOT 104, ACRES .17 * : * * * * - • * PROPERTY CHARACTERISTICS * . * * • * Bedrooms :3 Lot Acres : .17 Year Built :1990 * , * Bathrooms Lot SqFt :7,405 EffYearBlt :1990• , ‘-^..,..41-•c.\ • '''..v/ - ;, .• �.( SID( r a ° I K 93 `r C ` a ° X500 ,,t. b.4800 4 fPfri•C. 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TREATe j 1 ° 1 PLAr� +, _ t J!-- 1/2 ANGIlo2 �` _ 51 34" 1 1.4 5I/ll + CoacR ETC. 7 SL.Ae POuRED 1891 SCALE_ 1 = I a ' :SOY CA-RLSOAI. . 0 .. s . /2 'x/Z f : // 9 �-w /25 - e r • T/GARS OR 97223 �s ,$u/�-T JEST 4 V1E'AI — ViinitDAI EfiST VIEW – /VO W/N1)On/ II li II • i•l II II I ' r' I II •II II i II I'.I 11 II I II 11 II • II • • II II i1 I I , II it Li II II 1•I I II I II I I II II I1 II II I II I : I:I . I • • I II_ — — — II_ — — — li — — — —II — _1 Lill _= _ _II = = _ =I1 I I ii...Tr - - i,_—_-.:. 111-- =i—----`I l ,– I i– I I i i 11 I. I NEq-DE2, . . ' 4t4T �4L ER '. i 5uppokr � � m cols-r 3o X 2° W/Alba,&/ :if 2s4 '. 140" onl r CEnIrER • 6 r < , 12' 1-.14 coilt CoNGRET'E. . $LA& SCALE 1/Z'= 11 POURE,il I /